Mindray PM-8000 User Manual

PM-8000

Portable Multi-parameter

Patient Monitor

Operation Manual

Intellectual Property Statement

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others. Mindray does not assume any liability arising out of any infringements of patents or other rights of third parties.

Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution, rent, adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden

and are the registered trademarks or trademarks owned by Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners.

Contents of this manual are subject to changes without prior notice.

For this Operation Manual, the issued Date is August 2005 (Version: 2.5).

© 2002-2005 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.

I

Manufacturer’s Responsibility

All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.

Mindray is responsible for safety, reliability and performance of this product only in the condition that:

all installation operations, expansions, changes, modifications and repairs of this product are conducted by Mindray authorized personnel; and,

the electrical installation of the relevant room complies with the applicable national and local requirements; and,

this product is operated under strict observance of this manual.

Warranty

This warranty is exclusive and is in lieu of all other warrantyies, expressed or implied, including warranties of merchantability or fitness for any particular purpose.

Exemptions

Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.

This warranty shall not extend to

any Mindray product which has been subjected to misuse, negligence or accident; or

any Mindray product from which Mindray's original serial number tag or product identification markings have been altered or removed; or

any product of any other manufacturer.

II

Return Policy

In the event that it becomes necessary to return a unit to Mindray, follow the instructions below.

1.Obtain a return authorization.

Contact the Mindray Service Department and obtain a Mindray Customer Service Authorization Number. The Mindray Customer Service Authorization Number must appear on the outside of the shipping container. Return shipments will not be accepted if the Mindray Customer Service Authorization Number is not clearly visible. Please provide the model number, serial number, and a brief description of the reason for return.

2.Freight policy

The customer is responsible for freight charges when this product is shipped to Mindray for service (including any relevant customs fees or other freight related charges).

3.Return address

Please send the part(s) or equipment to the address offered by Customer Service Department.

III

Contact Information

Manufacturer:	Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address:	Mindray Building, Keji 12th Road South, Hi-tech Industrial Park,
	Nanshan, Shenzhen 518057 P.R. China
Tel:	[phone]	[phone]
Fax:	[phone]	[phone]
Website:	www.mindray.com.cn

EC	Shanghai International Holding Corp. GmbH (Europe)
Representative:
Address:	Eiffestraße 80, 20537 Hamburg Germany
Tel:	0049-40-2513175
Fax:	0049-40-255726

IV

Equipment Symbols

This symbol means 'BE CAREFUL '. Refer to the manual.

This symbol indicates that the instrument is IEC 60601-1 Type CF equipment. The unit displaying this symbol contains an F-Type isolated (floating) patient applied part providing a high degree of protection against shock, and is suitable for use during defibrillation.

Equipotential grounding system.

Protective earth ground.

Power On/Off

This mark means that this device is fully in conformance with the Council Directive Concerning Medical Devices 93/42/EEC. The number adjacent to the CE marking (0123) is the number of the EU-notified body that certified meeting the requirements of Annex II of the Directive.

The following definition of the WEEE label applies to EU member states only.

This symbol indicates that this product should not be treated as household waste. By ensuring that this product is disposed of correctly, you will help prevent bringing potential negative consequences to the environment and human health. For more detailed information with regard to returning and recycling this product, please consult the distributor from whom you purchased it.

* For system products, this label may be attached to the main unit only.

NOTE: Points to be noted.

CAUTION: Points to be noted to avoid damage to the equipment.

WARNING: Points to be noted to avoid injury to the patient and the operator.

V

FOR YOUR NOTES

VI

Contents

Chapter 1		Introduction	................................................................................................... 1-1
1.1	General Information		................................................................................................... 1-3
1.2	Screen Display ..........................................................................................................		1-5
1.3	Button Functions .......................................................................................................		1-8
1.4	Interfaces.................................................................................................................		1-10
1.5	Batteries ..................................................................................................................		1-13

Chapter 2		Getting Started..............................................................................................	2-1
2.1	Open the Package and Check ..................................................................................		2-1
2.2	Connect the Power Cables........................................................................................		2-1
2.3	Power on the Monitor ................................................................................................		2-2
2.4	Connect Patient Sensors...........................................................................................		2-2
2.5	Check the Recorder ..................................................................................................		2-3

Chapter 3		System Menu..............................................................................................	3-1
3.1	Patient Information Setup..........................................................................................		3-2
3.2	Default Setup.............................................................................................................		3-3
3.3	System Setup ............................................................................................................		3-5
3.4	Selection Setup .......................................................................................................		3-11
3.5	Monitor Version .......................................................................................................		3-12
3.6	Drug Calculation......................................................................................................		3-13
3.7	Maintenance............................................................................................................		3-13
3.8	DEMO Function.......................................................................................................		3-18

Chapter 4		Face Select .................................................................................................	4-1
4.1	Select Operating Screen ...........................................................................................		4-1
4.2	Standard Screen........................................................................................................		4-1
4.3 Trend Screen.............................................................................................................			4-2
4.4 oxyCRG Screen ........................................................................................................			4-3
4.5	Viewbed Screen ........................................................................................................		4-4

Chapter 5		Alarm ...........................................................................................................	5-1
5.1 Alarm Modes..............................................................................................................			5-1
5.2 Alarm verification during power on ............................................................................			5-4
5.3 Alarm Cause..............................................................................................................			5-4
5.4 SILENCE and PAUSE ...............................................................................................			5-5
5.5	Parameter Alarm .......................................................................................................		5-6
5.6	When an Alarm Occurs .............................................................................................		5-7

Chapter 6		Freeze ..........................................................................................................	6-1
6.1	General	......................................................................................................................	6-1
6.2	Enter/Exit Freeze Status............................................................................................		6-1
6.3	Frozen Menu .............................................................................................................		6-2
6.4	Reviewing ....................................................................................Frozen Waveform		6-2
			1

Contents

6.5	Recording Frozen Waveform ....................................................................................			6-3
Chapter 7			Recording ...................................................................................................	7-1
7.1	General Information on Recording ............................................................................			7-1
7.2	Recording Type .........................................................................................................			7-1
7.3	Recording Startup......................................................................................................			7-4
7.4	Recorder Operations and Status Messages .............................................................			7-5
Chapter 8			Trend and Event .........................................................................................	8-1
8.1	Trend Graph ..............................................................................................................			8-1
8.2 Trend Table................................................................................................................				8-3
8.3	NIBP Recall ...............................................................................................................			8-4
8.4 Alarm Event Recall ....................................................................................................				8-5
Chapter 9			Drug Calculation and Titration Table .......................................................	9-1
9.1	Drug Calculation........................................................................................................			9-1
9.2	Titration Table ............................................................................................................			9-3
Chapter 10			Patient Safety ...........................................................................................	10-1
Chapter 11			Care / Cleaning.........................................................................................	11-1
11.1 System Check........................................................................................................				11-1
11.2 General Cleaning...................................................................................................				11-2
11.3 Cleaning Agents.....................................................................................................				11-2
11.4 Sterilization ............................................................................................................				11-3
11.5 Disinfection ............................................................................................................				11-3
Chapter 12			ECG/RESP Monitoring.............................................................................	12-1
12.1		What Is ECG Monitoring........................................................................................		12-1
12.2		Precautions during ECG Monitoring......................................................................		12-1
12.3		Monitoring Procedure ............................................................................................		12-2
12.4		ECG Screen Hot Keys...........................................................................................		12-6
12.5 ECG Menu.............................................................................................................				12-7
12.6		ECG Alarm Information and Prompt....................................................................		12-11
12.7		ST Segment Monitoring (optional).......................................................................		12-12
12.8 Arr. Monitoring (optional) .....................................................................................				12-16
12.9		Measuring RESP.................................................................................................		12-20
12.10 Maintenance and Cleaning................................................................................				12-24
Chapter 13			SpO2 Monitoring ......................................................................................	13-1
13.1		PART 1 (MASIMO SpO2 board configuration) ......................................................		13-1
13.1.1 Precautions ........................................................................................................				13-3
13.1.2 Monitoring Procedure .........................................................................................				13-5
13.1.3 Sensors and Accessories:..................................................................................				13-8
13.1.4 Alarm Description and Prompt..........................................................................				13-10
13.1.5 Masimo Information..........................................................................................				13-13
13.2		PART 2 (MINDRAY SpO2 board configuration) ..................................................		13-14
13.2.1 What is SpO2 Monitoring..................................................................................				13-14
13.2.2 Precautions during SpO2/Pulse Monitoring .....................................................				13-15
13.2.3 Monitoring Procedure .......................................................................................				13-16
13.2.4 Limitations for Measurement ............................................................................				13-18

2

Contents

13.2.5 SpO2 Menu ......................................................................................................			13-18
13.2.6 Alarm Description and Prompt..........................................................................			13-21
13.2.7 Maintenance and Cleaning...............................................................................			13-22
Chapter 14		NIBP Monitoring .......................................................................................	14-1
14.1	Introduction............................................................................................................		14-1
14.2	NIBP Monitoring ....................................................................................................		14-1
14.3 NIBP SETUP menu ...............................................................................................			14-6
14.4	NIBP Alarm Message ............................................................................................		14-9
14.5	Maintenance and Cleaning..................................................................................		14-11
Chapter 15		TEMP Monitoring......................................................................................	15-1
15.1 TEMP Monitoring...................................................................................................			15-1
15.2 TEMP SETUP Menu..............................................................................................			15-2
15.3 TEMP Alarm message...........................................................................................			15-2
15.4	Care and Cleaning ................................................................................................		15-3
Chapter 16		IBP Monitoring..........................................................................................	16-1
16.1	Introduction............................................................................................................		16-1
16.2	Precautions during IBP Monitoring........................................................................		16-1
16.3	Monitoring Procedure ............................................................................................		16-2
16.4	IBP Menu...............................................................................................................		16-3
16.5 Alarm Information and Prompts.............................................................................			16-9
16.6	Maintenance and Cleaning..................................................................................		16-11
16.7	ICP Transducer ICT/B Optional Accessory .................................................		16-12
Chapter 17		Accessories..............................................................................................	17-1
17.1	ECG Accessories ..................................................................................................		17-1
17.2	SpO2 Accessories .................................................................................................		17-2
17.3	NIBP Accessories..................................................................................................		17-3
17.4 TEMP Accessories ................................................................................................			17-3
17.5	IBP Accessories.....................................................................................................		17-4
Appendix A		EC Declaration of Conformance..............................................................	A-1
Appendix B		Product Specification ...............................................................................	B-1
Appendix C		EMC ............................................................................................................	C-1
Appendix D		System Alarm Prompt...............................................................................	D-1

3

Contents

FOR YOUR NOTES

4

Chapter 1 Introduction

For an overall introduction to the monitor, please refer to General Information. For various messages displayed on the screen, please refer to Screen Display. For basic operating instructions, please refer to Button Function.

For allocation of interface sockets, please refer to Interfaces.

For important facts to be noted during the battery recharging procedure, please refer to

Built-in Battery.

For safety precautions of the monitor, please refer to Patient Safety.

Warning

PM-8000 Portable Multi-Parameter Patient Monitor is intended for clinical monitoring application with operation only granted to appropriate medical staff.

Warning

Monitor can only monitoring one patient at a time.

Warning

There could be hazard of electrical shock by opening the monitor casing. All servicing and future upgrading to this equipment must be carried out by personnel trained and authorized by Mindray.

Warning

Possible explosion hazard if used in the presence of flammable anesthetics or other flammable substance in combination with air, oxygen-enriched environments, or nitrous oxide.

.

Warning

You must verify if the device and accessories can function safely and normally before use.

Warning

You must customize the alarm setups according to individual patient situation and make sure that alarm sound can be activated when alarm occurs.

Warning

Do not use cellular phone in the vicinity of this device. High level electromagnetic radiation emitted from such devices may greatly affect the monitor performance.

1-1

Introduction

Warning

Do not touch the patient, table, or the device during defibrillation.

Warning

Devices connected to the monitor shall form an equipotential system (protectively earthed).

Warning

When used with Electro-surgery equipment, you (doctor or nurse) must give top priority to the patient safety.

Warning

Do not place the monitor or external power supply in any position that might cause it to fall on the patient. Do not lift the monitor by the power supply cord or patient cable, use only the handle on the monitor.

Warning

Consult IEC-601-1-1 for system interconnection guidance. The specific requirements for system interconnection are dependent upon the device connected to the monitor and the relative locations of each device from the patient, and the relative location of the connected device to the medically used room containing the monitor. In all circumstance the monitor must be connected to a grounded AC power supply. The monitor is referred to as an IEC 601/F device in the summary of situations table contained in IEC 601-1-1.

Warning

Dispose of the packaging material, observing the applicable waste control regulations and keeping it out of children’s reach.

Warning

This equipment is accord with the standard CISPR11 (EN55011) class A.

Warning Grounding:

Connect the monitor only to a three-wire, grounded, hospital-grade receptacle. The three-conductor plug must be inserted into a properly wired three-wire receptacle; if a three-wire receptacle is not available, a qualified electrician must install one in accordance with the governing electrical code.

Do not under any circumstances remove the grounding conductor from the power plug.

Do not use extension cords or adapters of any type. The power cord and plug must be intact and undamaged.

1-2

Introduction

If there is any doubt about the integrity of the protective earth conductor arrangement, operate the monitor on internal battery power until the AC power supply protective conductor is fully functional.

Note

The software was developed per IEC601-1-4. The possibility of hazards arising from errors in the software program is minimized.

Caution

At the end of its service life, the product described in this manual, as well as its accessories, must be disposed of in compliance with the guidelines regulation the disposal of such products. If you have questions concerning disposal of the product, please contact MINDRAY or its representatives.

If you have any doubt to the grounding layout and its performance, you must use the built-in battery to power the monitor.

1.1General Information

Environment:
Temperature
Working	0 ~ 40 °C
Transport and Storage	-20 ~ 60 °C
Humidity
Working	15%	~ 95 %
Transport and Storage	10%	~ 95 %
Altitude
Working	-500	~ 4,600m (-1,600 to 15,000ft)
Transport and Storage	-500	~ 13,100m (-1,600 to 43,000ft)
Power Supply

100/240 (V) AC, 50/60 (Hz)

Pmax = 100 VA

FUSE T 1.6A

Contraindications: None

General instruction:

PM-8000 is a Portable Patient Monitor that has abundant monitoring functions and is used for the clinical monitoring of adult, pediatric and neonate. In addition, the user may select the different parameter configuration according to different requirements.

PM-8000 can be connected to the central monitoring system via the Mindray network so as to form a network monitoring system.

PM-8000 (Figure 1-1) can monitor vital signals as ECG, Respiratory Rate, SpO2, NIBP, TEMP,

1-3

Introduction

IBP. It integrates parameter measuring modules, display and recorder in one device, featuring in compactness, lightweight and portability. Replaceable built-in battery facilitates transportation of patient. Large high-resolution display provides clear view of 5 waveforms and full monitoring parameters.

The power switch (POWER) of the monitor is on the upper left part of the front panel ( in the figure below). The POWER LED ( in the figure below) is used to indicate the AC Mains condition. This LED is illuminated when AC Mains is connected. BATT LED ( in the figure below) is on the left side of POWER LED, used to indicate the battery condition. This LED is off when no battery is loaded. After the battery is loaded, this BATT. LED will be illuminated if AC Mains is connected, or lighted off when AC Mains is disconnected and at the same time the monitor is not powered on, or flashes when though AC Mains is disconnected but the monitor is powered on. The alarm indicator (ALARM) is on the upper part of the front panel ( in the figure below), which will flash as soon as any alarm event happens. Sensor and probe sockets are on the left side of the monitor while the recorder is on the right side. Other sockets and power connector is on the rear panel of the monitor.

PM-8000 is a user-friendly device with operations conducted by a few buttons on the front panel ( in Figure 1-1) and a rotary knob ( in Figure 1-1). Refer to 1.3 Button Functions for details.

Figure 1-1 PM-8000 Portable Patient Monitor

The visible LEDs are CLASS 1 LED PRODUCT according with EN 60825-1 A11 Oct 1996. PM-8000 Portable Patient Monitor performs monitoring of:

		Heart Rate (HR)
	ECG
		2-channel ECG waveforms
		Arrhythmia and S-T segment analysis optional
	RESP	Respiratory Rate (RR)
		Respiration Waveform

1-4

		Introduction
	SpO2	Oxygen Saturation (SpO2), Pulse Rate (PR)
		SpO2 Plethysmogram
	NIBP	Systolic Pressure (NS), Diastolic Pressure (ND), Mean Pressure (NM)
	TEMP	Channel-1 Temperature (T1), Channel-2 Temperature (T2), Temperature
		Difference between two channels (TD)
	IBP	IBP SYS, DIA, MAP
		IBP waveform

PM-8000 provides extensive functions as visual & audible alarm, storage and report printout for trend data, NIBP measurements, and alarm events, oxyCRG, viewbed, and drug dose calculation function is provided either.

1.2Screen Display

The display of PM-8000 parameter monitor is a color LCD, which can display the collected patient parameters, waveforms, alarm information as well as bed number, time and monitor status, etc.

The screen is divided into three areas(Figure 1-2): Information area ; waveform area ;

parameter area .

Figure 1-2 PM-8000 Main Display

Information Area

The Message Area is at the top part of the screen, displaying the current status of both the monitor and the patient.

Patient information include:

1-5

Introduction

BED NO	Bed numbers of all patients under monitoring
Patient type	Three options: Adult, Pediatric, Neonate
“01-01-2000”	Current date
“13 51 32”	Current date and time
Male	Patient sex, Male or Female
ZHANG SHAN	Patient name This item will display blank if the operator does not

input patient name

Other information in the Message Area will appear and disappear together with the reported status. According to the content, the information is divided into:

■Prompt information, reporting the current status of the monitor or sensor/probe, which always appears to the right of the system time. When this information appears, it will cover patient sex and name.

■ flag for alarm PAUSE. Press “SILENCE” button once (less than 1 second) to mute all

alarm sounds are muted for the time being and the flag appears at the same time. Press the button again to terminate the PAUSE status. The duration for PAUSE status can be 1 minute, 2 minutes or 3 minutes.

■ flag for alarm SILENCE. Press “SILENCE” button once (more than 1 second) to

manually mute the alarm sound and this flag appears at the same time. The SILENCE status terminates when you discharge the status or new alarm occurs.

■ flag for Alarm Volume Off. It appears indicating that you have closed the alarm

sound permanently. This status terminates when you discharges the status.

Note

If symbol appears, the system will no longer give audible alarm sound. You must be very careful in using this function. Two ways can be used to discharge this status. One is set the alarm volume to an option other than OFF in the USER MAITAIN menu. The other method is to press SILENCE button to make the flag turn to . And then press SILENCE again and the system will restore the normal alarm status.

■Parameter alarm information is displayed always in the upper right corner of the screen.

■When the waveforms on the screen are frozen, the FREEZE prompt will appear in the bottom part of the screen.

Waveform / Menu Area

The waveform area can maximally display 5 waveforms. The displaying order of the waveforms on the screen can be adjusted. For the maximum configuration, the waveforms provided by the system for selection are: 2 ECG waveforms, SpO2 waveform, IBP waveforms,

1-6

Introduction

RESP waveform.

All the waveforms in the system are listed out in the “WAVEFORM SETUP” menu. The user may select the waveform to be displayed and adjust their displaying positions. The specific method is illustrated in the part: Tracing Waveforms Selection.

The name of the waveform is displayed on the upper left part of the waveform. The user may choose ECG lead based on the requirements. The gain of the channel and the filter way are also displayed on each ECG waveform. A 1mV scale bar is also displayed to the right side of ECG waveform. The IBP waveform scale can also be selected according to the actual requirement. Its range is described in the part: Measure IBP. In the IBP waveform area, the waveform scale is displayed. The three dotted lines for each IBP waveform form up to down represent respectively the upper limit scale, reference scale and lower limit scale. The values of these three scales can be set. The specific method is given in the part: Measure IBP.

When menu is wanted during screen operation, the menu always occupies the fixed position in the middle part of the waveform area, therefore part of waveform can not be viewed temporarily. After exiting the menu, the system will restores the original screen.

The user may set up the rate to refresh the waveform. The method to adjust the refreshing rate of each waveform is discussed in the setup description of each parameter.

Parameter Area

The parameter area lies to the right side of the waveform area, whose position basically corresponds to the waveform. The parameters displayed in the parameter area include:

ECG

—heart rate or pulse rate (unit: beats/minute)

—The ST analyzing result of channel 1 and 2: ST1, ST2 (unit: mV)

—PVCs unit: times/minute

NIBP

—From left to right, there are Systolic pressure, Mean pressure and Diastolic pressure unit: mmHg or kPa

SpO2

—SpO2 unit: %

—Pulse Rate unit: beats/minute When “BOTH” item is selected

IBP

—Blood Pressure: Systolic, Mean, and Diastolic values are displayed from left to right. unit: mmHg or kPa .

RESP

— Respiration Rate unit: times/minute

TEMP

—Temperature of channel 1 and 2: T1, T2 and the difference between them TD. (unit: or

Alarm lamp and alarm status:

In normal status: the alarm lamp is not on.

When alarm exists, the alarm lamp flashes or lights on. The color of the lamp corresponds to

1-7

Introduction

the alarm level. Refer to related chapter: Alarm.

For the details of alarm information and prompt information, refer to the related content of each parameter in related chapter.

Warning

Always verify the audible and visual (LED) alarms when PM-8000 powers on.

1.3Button Functions

All the operations to PM-8000 are through the buttons and a knob at the bottom of the screen. The names of the buttons are above them. They are (from left to right, Figure 1-3):

Figure 1-3 PM-8000 Buttons and Knob

POWER(Figure 1-3 )

Press to turn on/off the monitor.

FREEZE(Figure 1-3 )

Press this button and the system will access the FREEZE status. In this status the user may review the waveform of 40 seconds. Also, the frozen waveform can be printed out. In the FREEZE status, press this button again to discharge the FREEZE status. For detailed information, refer to related chapter: Freeze.

SILENCE(Figure 1-3 )

Push this button to suspend alarm for maximum 3 minutes (with 1 minute, 2 minutes and 3 minutes selectable). In Alarm PAUSE status, a symbol appears in the Message Area. Push this button for more than 1 second to mute all kinds of sounds (including alarm sound,

heart beat, pulse tone, key sound). At the same time, a

symbol appears in the

Message Area. Push this button again to restore all kinds of sounds and the symbol

1-8

Introduction

appears from the screen.

Note

If new alarm occurs in Alarm Pause/Silence status, the system will discharge Pause/Silence status automatically. For specific rules, see Chapter Alarm.

Note

The system will begin to give alarm information again once there exist alarm-triggering event. Nevertheless, remember pushing SILENCE button can permanently shut off audible alarm sound of ECG LEAD OFF and SPO2 SENSOR OFF alarms.

REC/STOP(Figure 1-3 )

Press to start a real time recording. The recording time is set in REC TIME of RECORD SETUP submenu. Press during recording to stop the recording. For detailed information, refer to related chapter.

NIBP(Figure 1-3 )

Press to inflate the cuff to start a blood pressure measurement. When measuring, press to cancel the measurement and deflate the cuff.

Rotary knob(Figure 1-3 )

The user may use the rotary knob to select the menu item and modify the setup. It can be rotated clockwise or counter-clockwise and pressed like other buttons. The user may use the knob to realize the operations on the screen and in the system menu and parameter menu.

Method to use the knob to operate on the screen:

The rectangular mark on the screen that moves with the rotation of the knob is called “cursor”. Operation can be performed at any position at which the cursor can stay.

When the cursor is in the waveform area, the user may immediately modify the current setup. When the cursor is in the parameter area, the user may open the setup menu of the corresponding parameter module so as to set up the menu items of the module.

Operating method:

■Move the cursor to the item where the operation is wanted

■Press the knob

■One of the following four situations may appear:

1 The cursor with background color may become into the frame without background color, which implies that the content in the frame can change with the rotation of the knob.

2 Menu or measuring window may appear on the screen, or the original menu is replaced by the new menu.

3 A check mark “√” appears at the position, indicating that the item is confirmed. 4 The system immediately executes a certain function.

1-9

Introduction

1.4Interfaces

For the convenience of operation, the different kinds of interfaces are in different parts of the monitor.

At the right side is the recorder’s paper inlet cover as shown in Figure 1-4.

Battery Slot

Figure 1-4 Right Side

At the left side are the connectors to patient cables and the sensors, as shown in Figure 1-5.Socket for Spo2 Sensor

Socket for IBP transducerSocket for TEMP probeSocket for ECG cable

Socket for NIBP cuff

Figure 1-5 Left Side

This symbol means “BE CAREFUL". Refer to the manual.

1-10

Introduction

Indicates that the instrument is IEC 60601-1 Type CF equipment. The unit displaying this symbol contains an F-Type isolated (floating) patient applied part providing a high degree of protection against

Figure 1-6 Rear Panel

On the rear panel are the following sockets, shown in Figure 1-6

■Power Supply: 100 ~ 240 (VAC), 50/60 (Hz). (Socket )

■VGA MONITOR: (Socket )

Monitor interface for external standard VGA color monitor. Working mode:800 × 600, 16 color, APA mode.

Signal:	analog R G B			0.7 Vpp / 750 ohm
	Hor. / Vert.		TTL	pos. / Neg.
Interface	D-sub 15 pin
	Pin 1.	Red Video
	Pin 2.	Green Video
	Pin 3.	Blue Video
	Pin 4.	Ground
	Pin 5.	NC
	Pin 6.	Red Ground
	Pin 7.	Green Ground
	Pin 8.	Blue Ground
	Pin 9.	NC
	Pin 10.	Ground
	Pin 11.	NC
	Pin 12.	NC
	Pin 13	Horizontal Sync.
	Pin 14.	Vertical Sync.

1-11

Introduction

Pin 15. NC

Appliance:

1)Install the VGA monitor in the same room with the patient but keep away from the patient for more than 1.5m. The monitor is intended to be used as an assistant monitoring device.

2)Plug and insert the connection cable while the VGA monitor is in power off status.

3)Power on at the same time, or power on the PM-8000 patient monitor after VGA.

4)Adjust brightness and contrast properly.

■

(Socket )

Equipotential grounding terminal for connection with the hospital’s grounding system.

■AUX OUTPUT (socket )

This port is used for both Analog Output and NURSE CALL.

The user could select the function of this port in “NURSE CALL SETUP” menu of “USER MAINTAIN” menu. Refer to the section about “USER MAINTAIN” menu to know the detailed information.

ANALOG OUTPUT: connected to oscillograph and pen recorder. BNC Jack. NURSE CALL: connected to the CALL system of the hospital by using dedicated

NURSE CALL cable.

Note

The output terminal of NURSE CALL cable has two leads in free status (ie., no distinction between positive or negative). Before use, the service engineer from MINDRAY or equipment engineer of the hospital must first install the accompanying connectors according to the real situation of the CALL system of the hospital.

■Network Interfaces (Socket ): Standard RJ45 Socket.

■Fixing hole of supporter(Socket ).

Note

Monitor must be connected with specific network equipment such as Harb during using net function.

Warning

Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards (e.g. IEC 60950 for data processing equipment and IEC 60601-1 for medical equipment). Furthermore all configurations shall comply with the valid version of the system standard IEC 60601-1-1. Everybody who connects additional equipment to the signal input part or signal output part configures a medical system, and is therefore responsible that the system complies with the requirements of the valid version of the system standard IEC 60601-1-1. If in doubt, consult the technical service department or your local representative.

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Introduction

1.5Batteries

This monitor is designed to operate run battery power when during transport or whenever the power supply is interrupted. The battery is charged automatically when the monitor is connected to AC power, no matter the monitor is powered on or not.

The battery symbol displayed on the main screen tells the status of the battery.

The battery is installed in the battery slot. The solid part indicates its capacity.

No battery is installed in the battery slot.

Besides, the battery indicator also indicates the status of the battery.

ON:	The battery is being charged or the battery is fully charged.
OFF:	No battery is installed. If the battery is installed but the monitor is not
	connected to AC power and not turned on, the indicator will also be off.
Flashes:	The monitor is powered by the internal battery.

The capacity of the internal battery is limited. When the battery capacity is too low, a high level alarm is triggered and the “Battery two low” message is given in the technical alarms area. At this moment, the AC power shall be applied to the monitor.

Note

Remove the battery before transport, or if the monitor is not likely to be used for an extended period of time.

Warning

Keep the battery out of the reach of children.

Use only the battery specified by the manufacturer.

1.5.1Battery Maintenance

Conditioning a Battery

A battery should be conditioned before it is used for the first time. A battery conditioning cycle is one uninterrupted charge of the battery, followed by an uninterrupted discharge of the

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Introduction

battery. Batteries should be conditioned regularly to maintain their useful life. Condition a battery once when it is used or stored for two months, or when its run time becomes noticeably shorter.

To condition a battery, follow this procedure:

1.Disconnect the monitor from the patient and stop all monitoring or measuring.

2.Insert the battery in need of conditioning in the battery slot of the monitor, and leave the other slot empty if your minitor has two slots.

3.Apply AC power to the monitor and allow the battery to charge uninterrupted for 10 hours.

4.Remove AC power and allow the monitor to run from the battery until it shuts off.

5.Apply AC power again to the monitor and allow the battery to charge uninterrupted for 10 hours.

6.This battery is now conditioned and the monitor can be returned to service.

Checking a Battery

The performance of a rechargeable battery may deteriorate over time. To check the performance of a battery, follow this procedure:

1.Disconnect the monitor from the patient and stop all monitoring or measuring.

2.Apply AC power to the monitor and allow the battery to charge uninterrupted for 10 hours.

3.Remove AC power and allow the monitor to run from the battery until it shuts off.

4.The operating time of battery reflects its performance directly.

If your monitor has two battery slots, you can check two batteries at the same time. Please replace the battery or contact with the maintenance personnel if its operating time is significantly lower than the specified time.

Note

Life expectancy of a battery depends on how frequent and how long it is used. For a properly maintained and stored lead-acid or lithium ion battery, its life expectancy is about 2 or 3 years respectively. For more aggressive use models, life expectancy can be less. We recommend replacing lead acid batteries every 2 years and lithium ion batteries every 3 years.

The battery might be damaged or malfunctioned if its operating time is too short after being fully charged. The operating time depends on the configuration and operation. For example, measuring NIBP more frequently will also shorten the operating time.

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Introduction

1.5.2Battery Recycling

When a battery has visual signs of damage, or no longer holds a charge, it should be replaced. Remove the old battery from the monitor and recycle it properly. To dispose of the batteries, follow local laws for proper disposal.

Warning

Do not disassemble batteries, or dispose of them in fire, or cause them to short circuit. They may ignite, explode, leak or heat up, causing personal injury.

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Introduction

FOR YOUR NOTES

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Chapter 2 Getting Started

■Open the package and check

■Connect the power cables

■Power on the monitor

■Connect patient sensors

■Check the recorder

Note

To ensure that the monitor works properly, please read Chapter Patient Safety, and follow the steps before using the monitor.

2.1 Open the Package and Check

Open the package and take out the monitor and accessories carefully. Keep the package for possible future transportation or storage. Check the components according to the packing list.

■Check for any mechanical damage.

■Check all the cables, modules and accessories.

If there is any problem, contact the distributor immediately.

2.2 Connect the Power Cables

Connection procedure of the AC power line:

Make sure the AC power supply complies with following specification: 100 ~ 240 VAC, 50/60 Hz.

Apply the power line provided with the monitor. Plug the power line to INPUT interface of the monitor(Socket in Figure 1-6). Connect the other end of the power line to a grounded 3-phase power output.

Note

Connect the power line to the jack special for hospital usage.

Mindray does not provide MULTIPLE PORTABLE SOCKET-OUTLETS. IF use it, please do not place it on the floor. Mindray advises that every one monitor uses one MULTIPLE PORTABLE SOCKET-OUTLETS.

Connect to the ground line if necessary. Refer to Chapter Patient Safety for details.

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Getting Started

Note

Make sure that the POWER lamp now lights. If it does not light, check your local power supply. If the problem still exists, contact the local Customer Service Center.

The battery needs to be charged after transportation or storage. If the power supply is not properly connected before turning on the monitor, it may not work properly because of insufficient power. Connect the power supply to charge the battery.

2.3 Power on the Monitor

Press POWER( in Figure 1-1) to power on the monitor. Then a beep will be heard and at the same time the indicator will flash twice in yellow and red. After 10 seconds or so, the system will enter monitoring screen after self-test, and you can perform normal monitoring now.

During self-test, the software version will display.

Note

If the monitor finds any fatal error during self-test, it will alarm.

Check all the functions that may be used to monitor and make sure that the monitor is in good status.

The battery must be recharged to the full electricity after each use to ensure adequate electricity reserve.

The interval between twice pressing of POWER should be more than 1 minute.

Warning

If any sign of damage is detected, or the monitor displays some error messages, do not use it on any patient. Contact biomedical engineer in the hospital or Mindray Customer Service Center immediately.

2.4 Connect Patient Sensors

Connect all the necessary patient sensors between the monitor and the patient.

Note

For information on correct connection, refer to related chapter 12-16.

2.5 Check the Recorder

If your monitor is equipped with a recorder, open the recorder door to check if paper is properly installed in the output slot. If no paper present, refer to Chapter Recording for details.

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